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Eventually you get used to the Effexor XL and you sleep again....and if you miss your 8 a.m. dose, by 10 a.m. you have shocks going up your neck into your head. I experienced this...and never missed my dose. took it on time. I felt better....less anxiety, which is why I was taking it.... unfortunately, I put on about 1-3 pounds a month and after 3 years.....36 months....I was up 60 pounds. Getting off of it was awful. BTW...this is my first post here. was browsing and read your post and thought I would share my experience. Good luck with it.View Thread